OMAR ROGER OTHMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

ROGER

Last Name

OTHMAN

Business Name

OMAR ROGER OTHMAN MD

Original Issue Date

08/12/2010

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023